Individual
CRISTIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
210 HWY 30 W, NEW ALBANY, MS 38652-3112
(662) 539-7014
Mailing address
1008 KENDALL ST, AMORY, MS 38821-2606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902319
MS
Other
Enumeration date
08/15/2017
Last updated
03/17/2018
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